WEST ISLAND BADMINTON CLUB
INSCRIPTION / REGISTRATION

General Information généraux
 Email / courriel   johndoe@yahoo.ca
 Email / courriel verification   johndoe@yahoo.ca
 Referred By / Refere par   Referral name or blank / Nom reference ou vide
 Address 1 / Adresse 1   ex. 423 Antoine Faucon
 Address 2/ Adresse 2   ex. Pierrefonds, Quebec
 Postal Code postale   ex. H9J 1J6

 Home / Maison
Area Code Regionale		   514  Home / Maison Tel #   ex.620-1345
 Work / Travail
Area Code Regionale		   514  Work / Travail Tel #   ex.844-5643



Junior Badminton Registration


*** Special Summer Weekly Junior Mini Camp 3 hours / morning

#Code .. Day / Journee

Time / Temps

 Description

 Cost
  SM1      June 24 - June 28   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM2      July 1 - July 5   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM3      July 8 - July 12   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM4      July 15 - July 19   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM5      July 22 - July 26   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM6      July 29 - Aug 2   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM7      Aug 5 - Aug 9   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125


Regular Junior Program / Programme Junior (19 ans et moin/less)

Code .. Junior Summer / Ete 2024
S1 ... (7) 2 heurs des leçons lundi / (7) 2 hours lessons Monday ... 6 pm - 8 pm .. advanced junior training ($70) ..June 24 - Aug 5
S2 ... (7) 2 heurs des leçons mardi / (7) 2 hours lessons Tuesday ... 6 pm - 8 pm .. intermediate junior training ($70) ..June 25 - Aug 6
S3 ... (7) 2 heurs des leçons mecredi / (7) 2 hours lessons Wednesday... 6 pm - 8 pm .. advanced junior training ($70) ..June 26 - Aug 7
S4 ... (7) 2 heurs des leçons jeudi / (7) 2 hours lessons Thursday ... 6 pm - 8 pm .. intermediate junior training ($70) ..June 27 - Aug 8
S5 ... (7) 2 heurs des leçons mecredi / (7) 2 hours lessons Wednesday... 4 pm - 6 pm .. junior / adult .. parent training ($70) ..June 26 - Aug 7
S6 ... (7) 2 heurs des leçons jeudi / (7) 2 hours lessons Thursday ... 4 pm - 6 pm .. junior / adult .. parent training ($70) ..June 27 - Aug 8
# Prénom
First Name 		Nom
Last Name		 Sex
(M/F) 		Birth
Naiss 		Leçons#
Lessons#
1
2
3
4


Problème médical / Family Medical Problems
 Medical Problem  
Emergency Tel# Urgence
 
 
    


Special Administration non_wibc entry ( blank ) : Class :